Professional Medical Service of Infertility
Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. A history and physical examination can help direct the evaluation. Men should undergo evaluation with a semen analysis. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization.
Ovulation should be documented by serum progesterone level measurement at cycle day 21. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Treatment of tubal obstruction generally requires referral for subspecialty care. Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization.
Services Offer
IUI
Intrauterine Insemination – IUI
Intrauterine insemination is a medical procedure which involves injecting good quality sperm directly into a woman’s uterus. It is the least invasive form of fertility treatment. This procedure is performed to ensure that more number of sperm reach the fallopian tube to give the patient a higher chance of the sperm fertilizing the egg.
Who is suitable for IUI?
- IUI offers men with low sperm count or low sperm motility an option to give their sperm a head start by injecting it directly in the uterus.
- Women who have severe cervical mucus hostility which doesn’t allow for the sperm to survive should opt for IUI.
- Women who have a good egg reserve and open healthy fallopian tubes (confirmed laparoscopically) are ideal candidates to undergo IUI treatment.
- In cases of azoospermia (complete absence of sperms) donor sperms can be used for IUI with consent.
IVF
IVF – Invitro Fertilisation
If you’re looking for personalized IVF Treatment in Nandyal, udayanandahospital, is the right choice for you. We specialize in all types of fertility treatments for men and women. Experience the best Natural IVF and Mild IVF treatments in Nandyal. Our fertility treatments are tailor-made for each patient, using advanced techniques that reduce side effects, stress and duration of the treatment.
udayanandahospital in Nandyal, Andhra pradesh, India is one of the leading fertility hospitals, having the best IVF success rates. Our experienced fertility expert, Dr. Swapna, Srinath gives personalized treatment approach towards Male and Female infertility problems, with advanced technology, has achieved superior pregnancy success rates. We are committed towards providing compassionate and ethical fertility treatment, recommending treatments that significantly boost your chances of having a successful pregnancy.
What is IVF ?
IVF stands for in vitro fertilization. It’s one of the more widely known types of assisted reproductive technology (ART). IVF works by using a combination of medicines and surgical procedures to help sperm fertilize an egg outside the body in the laboratory. The fertilised egg – embryo is transferred into the women’s uterus. IVF has many steps, and it takes several months to complete the whole process. It sometimes works on the first try, but many people need more than 1 round of IVF to get pregnant. IVF definitely increases your chances of pregnancy if you’re having fertility problems.
Steps in IVF –
- Ovarian stimulation – In a natural menstrual cycle, women produce a single egg. In an IVF cycle, medication or hormones are used to stimulate the ovaries to produce more eggs. During the stimulation process, patient is monitored with serial ultrasound examinations and hormonal blood test.
- Egg collection (oocyte retrieval) – It is a minor surgical procedure done under mild sedation. Using a thin needle through the upper vaginal wall under ultrasound guidance, follicular fluid, which contains the eggs, is aspirated. Immediately after retrieval, the egg is placed in a dish and transferred to an incubator.
- Fertilisation – Sperm sample is collected from the male partner and added to the eggs retrieved. Sometimes, the sperm is injected into the egg directly under high definition microscope. This is called intra cytoplasmic sperm injection (ICSI). The development of embryo in the IVF lab is monitored.
- Embryo transfer – Three to five days after egg retrieval, embryos are transferred – it is called fresh embryo transfer. A thin tube is placed through the cervix into the uterus, and the embryos are directly transferred into the uterus. Remaining embryos are kept frozen, which can be used later.
Plan on resting for the rest of the day after your embryo transfer. You can go back to your normal activities the next day. You will be advised to take pills or get daily injections of a hormone called progesterone for the first 8-10 weeks after the embryo transfer. The hormones make it easier for the embryo to survive in the uterus. Pregnancy happens if any of the embryos attach to the lining of your uterus. A pregnancy test is done two weeks after embryo transfer.
Semen Analysis
Semen analysis, also known as a sperm count test, analyzes the health and viability of a man’s sperm. Semen is the fluid containing sperm (plus other sugar and protein substances) that’s released during ejaculation. A semen analysis measures three major factors of sperm health:
- The number of sperm.
- The shape of the sperm.
- The movement of the sperm, also known as “sperm motility”.
Doctors will often conduct two or three separate sperm analyses to get a good idea of sperm’s health. According to the American Association for Clinical Chemistry (AACC), the tests should be conducted at least seven days apart and over the course of two to three months. Sperm counts can vary on a daily basis. Taking an average of the sperm samples can give the most conclusive result.
ICSI
ICSI – Intracytoplasmic Sperm Injection
Intracytoplasmic Sperm Injection or ICSI is a procedure in which a single sperm cell is directly injected into the cytoplasm of an egg. ICSI is performed by a skilled embryologist with micromanipulator in the IVF laboratory. udayanandahospital offers this advanced technique.
For around half of the couples struggling to get pregnant, the problem lies with male fertility. ICSI is currently the best male infertility treatment. The difference mainly lies with the process of fertilization. In IVF, eggs and sperm are put together in a dish and a single sperm penetrates the egg and fertilsation occurs’. However, this requires a good number of sperms.
In ICSI, the process involves injection of a single sperm that is picked up with a fine glass needle and then put into the cytoplasm of the egg cell . Very few sperm as compared to IVF is required and the ability of the sperm to penetrate the egg no longer holds importance.
Who is recommended to have ICSI?
CSI is one of the important step in an IVF cycle. ICSI significantly improves pregnancy rates when the cause is due to a male factor. Male infertility factors generally include low sperm count, poor motility, poor sperm quality or when the sperm lacks the ability to penetrate the egg. Men with absence of sperm in the semen due to some kind of blockage, which needs surgical retreival can also be treated with the ICSI.
Apart from infertility in men, here other infertility problems for which ICSI is a suitable treatment:
- Less number of retrieved eggs.
- Fertilization failure during previous IVF cycle.
- Repeated miscarriages during previous cycle.
- Age over 35 years
- Endometriosis, PCOS or any other problem.
- Unfavorable embryo development in previous cycles.
- Unexplained infertility
